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10124 EDMONDS WAY_2iFDM 06joj _�j 141 FIRE PREVENTION Serving Brier, Eamonas, and 12425 Meridian Ave S ASPECTION REPORT SNOHONIISH 0 EDMONDS Mountlake Terrace Everett, WA 98208 0 BRIER F1 E Phone (425) 551-1200 0 MOUNTLAKE TERRACE DIST.i ww.FireDistrictl.org Fax (425) 551-1272 0 UNINCORPORATED T 6mondsWay 98o2o FREQUEX cy STATION & SHIFT nnu 20-D LOCATION: McDonald's #4637 4257783 BUSINESS NAME: PHONE: ?HDU ED Jul 2017 DATE DUE ► 10124 Edmonds Way, Edmonds, WA 98020 Ibi MAILING UFIR 0 ADDRESS: Moncrief, Kathi BUSINESS OWNER: Miller, HOME PHONE: DQ1jglas 01(jVp L,9?FL ---206790504 EMERGENCY-1: HOME PHONE: L/3Z - CURRENT YK NO .KEY ACCESS-2: HOME PHONE: CITY BUSINESS EMAIL: LICENSE 1:1 El PERSON CONTACTED: INITIArp7c&1Qq7 FIRE SYSTE --- NAME OF INN&: AS /1'6� F 6 FE 05/16 HD (3) 11/16 12GO040 AM e 6ast 5 V h1vu. 51r7 JUJANSUL] McOonald's Restaurant: Store No. Licensee McCopco Store Manager Address i0/2 y �i�✓tee City, State Zip Code 5W20 Phone COOKING STATIONIFIRE SYSTEM IN , 2V, 3V, 4V, Combo, R-102 System Size (e.g. 3 gal., Last R-102 Tank(s) Hydro Date system is UL 300 Compliant (' FIRE SUPPRESSION SYSTEM CHECKLIST Date Authorized ANSUL Distributor: Company _ sC��7f�eiSCf*' i''Z iDT�c�td�-i Address 77 el �Y City, State `i'✓,w, l /i- Zip Code %rOi7 Phone acxl) � Inspected By HOOD 1 H000 2` HOOD 3 1 HOOD 4 IW6 1— Note: Only genuine ANSUL components that are evaluated and Included in the R-102 UL 300 systems listing, and Installed in accordance with the R-102 System Design, Installation, Recharge, and Maintenance Manual (Part No. 418087) are allowed. "UL Classified" or generic components may not be substituted, The only exception is for pipe, conduit, related fittings, and chrome sleeving (when required). Date of Tanks: Mild Steel (Qty) Date(s) Stainless Steel (Oty) 3 Date(s) ?_o 12 CHECK TYPE of SERVICE PERFORMED: ❑ New Installation/Rebuild tErttemi-Annual Maintenance �enual Maintenance ❑ 12-Year Maintenance ❑ Recharge (�Rle ANSUL R-102 Fire Suppression System(s) is Installed, serviced, and/or recharged in accordance with the current R-102 System Design, Installation. Recharge, and Maintenance Manual (Part No. 418087), NFPA 17A, NFPA 96, and all applicable local codes. ❑ Service Refused (by store Owner/Operator). Current Service Provider SERVICE PARTS No. of Nozzle Caps Replaced' r Fusible Links Replaced (Qty): 165° 212° 280° 360° 3 450° 500° _ Verify genuine ANSUL cartridge seal is present: &-res ❑ No — If no, replace with new cartridge. Verity proper portable extinguishers are present: Dry Chemical Units: Model # -sWC- Last Hydra Date G Model # Last Hydro Date Model # ,� C_ Last Hydro Date Model # Last Hydro Date K-Class Unhs/F-Class Units (where applicable): Model # lizSs Last Hydro Date Model# Last Hydro Date Model # I� ^ LDS _ Last Hydro Date _ Model # Last Hydro Date Note: Based on local code requirements, other tests or services may need to be performed. I certify that Me restaurant fire suppression system(s) is Installed in accordance with the R-102 System Design, , Yes ❑ Yes/exception ❑ No installation, Recharge, and Maintenance Manual (Part No. 418087). I certify that only genuine ANSUL components are present and that "UL Classified" or generic parts have not been substituted.�^les ❑ Yestexception ❑ No If any part of the system service could not be performed, or "Yes/exception" was indicated above, explain: e SERVICE TECHNICIAN NAME (PRn,1T) L FOR TANAGER IJAME ( INT) SERVICE TECHNIC STORE M AGER SIGNATURE ORIGINAL —r= FIRE PROTECTION PRODUCTS CANARY— McD6NALD'9 MANAGER - PINK • I) STRIBUTOR f'gco .. One Stanton Street / Marinette, WI 54143-2542, USA / +1-715-735-7411 / www.ansuLoorn Flre Protection Products Copyright O 2016 Tyco Fire Products LP. / All rights reserved. / Form No. F-2011200-03 From:Cascada Alarm 2536304-851 09/26/2016 12:38 #375 P.001/002 Cascade A/army P.O Box 7459 Kent, WA 98042 Ph: 206-767-5800 Fx: 253-630-4851 PLEASE PRINT PROPERTY NAME (OCCUPANCY) Name: Mcdonalds Edmonds Address: 10124 Edmonds Way Edmonds WA 98020 Telephone: 425-772-7888 Facility Representative: Kathy FIRE ALARM SYSTEM TEST REPORT Date: 9/20/2016 TESTING ORGANIZATION Name: Cascade Alarm LLC Address: P.O. Box 7459 Kent WA 98042 Telephone: _ 206-767-5800 Technician: Carl Smith Title: License No: Signature: Signature: i� (This is to certify that this fire alarm system has been properly inspected for reliability to cover the items listed in this report, & is consistent with NFPA Fire Alarm Maintenance Standards. MONITORING AGENCY Name: NWAMS ACCT 75155126 Contact Name or Operator No: Telephone: 206-767-5800 X3 Panel manufacturer: Silent Knight No. of initiating circuits: Addesable Batteryvoltage: 25.5 volts SERVICE n Quarterly Semi-annually Annually Other (Specify) Model No: 57QU No. of signal circuits: 2 Charge circuit voltage: 27.2 volts Battery voltage under full bad 22.5 volts (signals operating) SYSTEM POWER CHECKS SATISFACTORY YES NO NIA Trouble Signal with AC power off System operates satisfactory on standby power All signals operate on AC power All circuits checked for electrical supervision Control panel checks made per NFPA & manufacturer's instructions All auxiliary equipment operates (elevators, fans, dampers) Automatic time delay of general alarm minutes All alarm notification appliances been checked for proper operation Key to panel available Operating instructions at panel Test record posted at panel From:Cascade Alarm 2536304851 09/26/2016 12:39 #375 P.002/002 TYPE OF EQUIPMENT TESTED (AH devices must be tested) # UNITS TESTED SATISFACTORY YES NO N/A Bells, Horns, Chimes, Voice alarm speakers 12 Visual Alarm Devices 12 Circuit Trouble Indicators Automatic Fire Sprinkler Supervisory Switches 3 Automatic Fire Sprinkler Flow Switches 1 Heat Detectors Smoke Detectors 1 Manual Pull Stations 1 Ventilation Controls Operate Generator Starts Annunciators 1 Elevator Recall Automatic Door Release Fire Dampers/Smoke Dampers Phone Jacks Automatic Door Unlocks (Failsafe) Other CENTRAL STATION MONITORING Alarm Signal Alarm Restores Trouble Signal Supervisory Signal Supervisory Restorable Notify Monitoring Agency that testing is complete Problems Found: Corrections Made: rPnlarPrl hatteriPc Date Corrected: 9/20/2016 By: Carl Smith Form 338 (Revised 3108) From:Cascade Alarm 2536304851 09/26/2016 12:40 #376 P.001/002 cascaIF d- a Alarm P.O. Box 7459 Kent, WA 98042 (206) 767-5800 PLEASE PRINT PROPERTY NAME (OCCUPANCY) j) Name:. %� Lr?ram �� ��'L� u✓f �CS Address: /0/ Z-q 6,6i1—nJy' G✓a Telephone: t% 7 77 Z 7 ,? Facility Representative: f AUTOMATIC FIRE SPRINKLER SYSTEM TEST REPORT Date: / - / �? - f4� TESTING ORGANIZATION Name: Cascade Alarm, LLC Address: P.O. Box 7459 Kent. WA 98042 Telephone: (206)767-5800 Technician: Robin Anderson Title: License No: A=62/8115-1208-EG Signature: Signature: (This is to certify that this fire sprinkler system has been property inspected for reliability to cover the items listed in this report, & is consistent with NFPA Fire Sprinkler Maintenance Standards. MONITO lNG AGENCY Name: S6 , Contact Name or Operator No: R /d7 Telephone: _ o20 L 70ko 0 K_ Panel Make/Model -� 1J / o Q SERVICE Quarterly Semi-annually Annually Other (Specify) Riser Location: & G-L/' & u ,I DRY SYSTEMS MAKE/MODEL: SATISFACTORY YES NO NIA Triptest d trip) conducted - System tripped (dry p) y Aped in seconds All flow switches, supervisory ewitchos toctod Flow tests conducted -Flow pressure psi r ` Systems inspected and lubricated Did all quick opening devices operate satisfactorily? LA Air compressor refills system in 30 minutes System drained and restored to normal operation Were the heat actuation devices tested on pre -action and deluge systems WET SYSTEMS , f 1 MAKE/MODEL: ( YL C�"f F%� I� y,1�t�c�� Flow tests conducted - Static pressure / / psi / Flow pressure - psi SATISFACTORY YES NO N/A V( Flow switches, supervisory switches and alarm bells tested Alarm Bell Operates V( Pressure regulating valves tested From:Cascade Alarm 2536304851 09/26/2016 12:41 #376 R.002/002 GENERAL SATISFACTORY YES NO N/A Have there been any changes in the occupancy since the last inspection Have all fire pumps been tested to their full capacity within the past 12 months ✓ Pumper connections and clapper valves unobstructed z Sprinkler heads free of corrosion, paint, obstructions, and/or physical damage Sprinkler coverage is acceptable Spare sprinkler heads and wrench are available Systems inspected and lubricated Valves are sealed or supervised Signs are provided on valves V 5-Year FDC Back flush, Internal Exam, and replacement of Gauges Completed 13 Systems left in service Signals received at Central Station s V :_r ✓ ;.. Problems Found: 1 ► u� Corrections Made: A U h �- Date Corrected: By: Form 347 (Revised 3-08) SNOHOMISH CO. FIRE FIRE PREVENTION Serving Brier, Edmonds,aINSPECTION REPORTnd 12425 Meridian Ave S 0 EDMONDS M�qntlake Terrace El BRIER Everett, WA 98208 r . Phone(425)551-1200 0 MOUNTLAKE TERRACE [3 UNINCORPORATED www.Fi'reDistrict].org Fax (425) 551-1272' FREQUENCY . STATION& SFIIff_*� LOCATION: 10124 Edmonds Way 98020 Ammue' BUSINESS NAME: PHONE: SCHEDULED, II' McDonald's #4637 4257783343 DATE DUE _11-.19016 MAILING LIFIR 0 ADDRESS: 161 10124 Edmonds Way, Edmonds, WA 98020 BUSINESS OWNER: HOME PHONE: Moncrief, Kathi EMERGENCY 1: HOME PHONE: - CURRENT KEY ACCESS-2: Miller, Douglas HOME PHONE: 2067905048 CITY YES NO EMAIL: BUSINESS Wr F LICENSE '.fPERSON CONTACTED: I A INITIAL INSPECTION DATE NAME OF INSPECTOR: NA V�t3 %3b ax, P"-j nvk�(�-M V) FIRESYSTEMS:. AS 10/15FA 10/15 FE.4/14 HD (3)4/14 FD Lk Box -We-irocATIONS COMMUNICATIONS 2 3 3 4 .4- 5 5 6 6 --- 7 7 I AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION 2nd RE -INSPECTION EXTENSION FINAL RE -INSPECTION VIOLATIONS DATE DUE: OAT DUE: y GRANTEDTO: DATE UE. CITED- PERSON PERSON 'T PERSON ON CONTACTED* CONTACTED: CONTACTED: D: _IN'SPE_C_T0R`: INSPECTOR: INSPECTOR: I 2 3 DATE: DATE; f : I VIOLATIONS 7 VIOLATIONS-'. . ,, __ PRE-CITAT1ON CITATION ISSUED I LETTERER SENT NUMBER: ["DATECODE 4 . ........ 2_ 16 2 16 DATE: T SECTION: 17 3 7 RETURN RECEIPT RECEIVED kkk DISPOSITION: �� 4 8 8 DATE: LETTER NEEDED❑ YES 0 NO LETTER NEEDED YES NO 8 / FIRE Eascade Alar�j ALARM SYSTEM P.O Box 7459 TEST REPORT Kent, WA 98042 OCT 1 20 Ph: 206-767-5800 Fx: 253-630-4851 PLEASE PRINT PROPERTYNAME(OCCUPANCY) Name: E' V1d1tI}9��� Address: Z h;2&=> �: WO 2.0 Tel. hone A 2A ? -!- •7 c/vx Date: TESTING ORGANIZATION Name: Cascade Alarm LLC Address: P.O. Box 7459 Kent WA 98042 p Telephone:20°6-767-5 00 _ Facility Representative: i (ffTechnician:__ )�P L f Title: License No: ZB Signature: Signature: (This is to certify that this fire alarm system has been property inspected for reliability ver t e items listed in this report, & is consistent with NFPA Fire Alarm Maintenance Standards. MONITORING AGENCY O SERVICE Quarterly Name: ___&fon= Semi-annually Contact Name or Operator No: AMhually Telephone: 2 0_0 Other (Specify) Panel manufacturer: i1Z- 1-t— . I — - — 'Model No: �> L No. of initiating circuits: - No. of signal circuits: Battery voltage: volts Charge circuit voltage: '�� volts Battery voltage under full load volts (signals operating) SYSTEM POWER CHECKS Trouble Signal with AC power off System operates satisfactory on stand-by power All signals operate on AC power EE - All circuits checked for electrical supervision Control panel checks made per NFPA & manufacturer's instructions All auxiliary equipment operates (elevators, fans, dampers) Automatic time delay of general alarm ' minutes Ali alarm notification appliances been checked for proper to panel available Operating instructions at panel Test record posted at panel _ SATISFACTORY YES I NO I NIA TYPE OF EQUIPMENT TESTED (All devices must be tested) Bells, Homs, Chimes, Voice alarm speakers Visual Alarm Devices Circuit Trouble Indicators Automatic Fire Sprinkler Supervisory Switches Automatic Fire Sprinkler Flow Switches Heat Detectors Smoke Detectors Manual Pull Stations Ventilation Controls Operate Generator Starts Annunciators Elevator Recall Automatic Door Release Fire Dampers/Smoke Dampers Phone Jacks Automatic Door Unlocks (Failsafe) Other -- V. CENTRAL STATION MONITORING Alarm Sional Alarm Restores Trouble Signal Supervisory Signal Supervisory Restorable Notify Monitoring Agency that testing is Problems Found: Corrections Made: Date Corrected: By: # UNITS TESTED I YES Z SATISFACTORY NO F NIA Form 338 (RPvirpr A/mi . O Cascade A&Lmj P.O. Box 7459 Kent, WA 98042 (206) 767-5800 OCT & zali PLEASE PRINT PROPERTY NAME (OCCUPANCY) Name:.��� 1rQt �/J.no c Address: O)Zq CAmoetSy JAIa Gt��'hcsl�.l ln/cr. ,�'oZr� Telephone: Facility Representative: AUTOMATIC F° RE SPRINKLER SYSTEM TEST REPORT Date: i 0 TESTING ORGANIZATION Name: Cascade Alarm, LLC Address: P.O. Box 7459 Kent, WA 98042 Telephone: (206)767-5800 Technician: Robin Anderson Title: License No: AO 6 /8115-1208-EG 11, Signature: Signature: i (t (This is to certify that this fire sprinkler system has been properly inspected for reliability to cover the items listed in this report, & is consistent with NFPA Fire Sprinkler Maintenance Standards. MONITORING AGENCY SERVICE Quarterly Name: �f�l 5 LGJ, k'-,`" Semi-annually Contact Name or Operator No: �iG„o(on 7 Annually Telephone: I-,G>- ?L 7- 524-D Other (Specify) Panel Make/Model -5k 5 70e) Riser Location: /-Yr,&'eI-X6 *1 DRY SYSTEMS MAKE/MODEL: SATISFACTORY YES NO N/A Trip test (dry trip) conducted -- System tripped in seconds ^ =, All flow switches, supervisory switches tested Flow tests conducted -Flow pressure psi Systems inspected and lubricated Did all quick opening devices operate satisfactorily? Air compressor refills system in 30 minutes System drained and restored to normal operation Were the heat actuation devices tested on pre -action and deluge systems LJ WET SYSTEMS MAKE/MODEL: Flow tests conducted - Static pressure I / U psi / Flow pressure _ psi Flow switches, supervisory switches and alarm bells tested Alarm Bell Operates Pressure regulating valves tested SATISFACTORY ems ,NONE 0'""WENE' NE■E0■ GENERAL SATISFACTORY YES NO N!A Have there been any changes in the occupancy since the last inspection Have all fire pumps been tested to their full capacity within the past 12 months Pumper connections -and clapper valves unobstructed Sprinkler heads free of corrosion, paint, obstructions, and/or physical damage Sprinkler coverage is acceptable Spare sprinkler heads and wrench are available Systems inspected and lubricated ✓ Valves are sealed or supervised ✓ Signs are provided on valves 5-Year FDC Back flush, Internal Exam, and replacement of Gauges Completed n�r3`.9 v( Systems left in service Signals received at Central Station Problems Found: &Y1 t, Corrections Made: 4o r? e. Date Corrected: By: Form 347 (Revised 3-08) Cascade Alarm P.O. Box 7459 Kent, WA 98042j ., (206) 767-5800 ; �! OCT F PLEASE PRINT PROPERTY NAME (OCCUPANCY) Name:. 4A`jj&n41d s " m o n sf S Address: /D / L q 649th o!! n ai s pGJa y NI^cJAJ-5 Telephone: Facility Representativ' : K{: ht.o. v l.%Yy /' (t 4' Title: Signature: AUTOMATIC FIRE SPRINKLER SYSTEM TEST REPORT Date: � -/ y TESTING ORGANIZATION Name: Cascade Alarm, LLC Address: P.O. Box 7459 Kent: WA 98042 Telephone: (206)767-5800 Technician: Robin Anderson License No: 811 - - Signature: /- /Zv / vl GZ.� (This is to certify that this fire sprinkler system has been properly inspected for reliability to cover the items listed in this report, & is consistent with NFPA Fire Sprinkler Maintenance Standards. MONITORING AGENCY Name: ff/ai,!L, Contact Name or Operator No: Telephone: 2,o.6 - 7X 7�r Panel Make/Model ��- -Ln fP//� j �', A f ,7 74a SERVICE ❑ Quarterly ❑ Semi-annually XAnnually ❑ Other (Specify) Riser Location:�kvyy, DRY SYSTEMS MAKE/MODEL: SATISFACTORY YES NO NIA Trip test (dry trip) conducted -- System tripped in seconds All flow switches, supervisory switches tested Flow tests conducted -Flow pressure psi Systems inspected and lubricated Did all quick opening devices operate satisfactorily? Air compressor refills system in 30 minutes System drained and restored to normal operation Were the heat actuation devices tested on pre -action and deluge systems WET SYSTEMS / MAKE/MODEL:1 .0 �/ CJ V ffR Atli t-41 <' rt% (%4' l ✓e SATISFACTORY YES NO N/A Flow tests conducted - Static pressure //0 psi / Flow pressure psi Flow switches, supervisory switches and alarm bells tested Alarm Bell Operates Pressure regulating valves tested GENERAL SATISFACTORY YES NO N/A Have there been any changes in the occupancy since the last inspection Have all fire pumps been tested to their full capacity within the past 12 months Pumper connections and clapper valves unobstructed Sprinkler heads free of corrosion, paint, obstructions, and/or physical damage Sprinkler coverage is acceptable t/ Spare sprinkler heads and wrench are available Systems inspected and lubricated v/ Valves are sealed or supervised / 1/ Signs are provided on valves 5-Year FDC Back flush, Internal Exam, and replacement of Gauges Completed/le or 1<<3 Systems left in service Signals received at Central Station Problems Found: /)U n Corrections Made: b n Date Corrected: gy Form 347 (Revised 3-08) FIRE ALARM SYSTEM TEST REPORT Date: A9 — e. — TESTING ORGANIZATION Name: Ca caria Alarr"C Address:_ P.O. Box 7459 Kent Wq g8Q42 Telephone: 206-767-51300 Facility Representative: %%G' nt t'/ Technlcian:_-�&i Tide: Signature: A 98042 06-767-5800 ..,c: 253=630-4851 PLEASE PRINT PROPERTY NAME (OCCUPANCY) 1 OCT I 8Y. Address: 16024 Fri l'►'1I3 �� S� ���►� r1 �`/,,�Il Telephone: Ucense No: Signature: (This is to certify that this fire alarm system has been property inspected for reliabil to cover the items listed in this report, 6 consistent with NFPA Fire Alarm Maintenance Standards. MONITORING AGENCY Name: 11 kik, Nl S Contact Name or Operator No: Telephone: Panel manufacturer:�- -`r No. of initiating circuits: Battery voltage: �L(o- 14-7 volts Battery voltage under full load _ `� qk volts (signals SERVICE O Quarterly 13 Semi-annually P nnualiy ❑ Other (tpecify) Model No: S'D0D No. of signal circuits: _-- Charge circuit voltage: volts operatinal TYPE OF EQUIPMENT TESTED (All devices must be tested) # UNITS TESTED SATISFACTORY YES NO NIA Bells, Horns, Chimes, Voice alarm speakers 7 Visual Alarm Devices 5- Circuit Trouble Indicators Automatic Fire Sprinkler Supervisory Switches Automatic Fire Sprinkler Flow Switches Heat Detectors Smoke Detectors j Manual Pull Stations Ventilation Controls Operate Generator Starts Annunciators Elevator Recall Automatic Door Release Fire Dampers/Smoke Dampers Phone Jacks Automatic Door Unlocks (Failsafe) Other CENTRAL STATION MONITORING Alarm Signal �- Alarm Restores Trouble Signal �--- Supervisory Signal �. Supervisory Restorable Notify Monitoring Agency that testing is complete .� Problems Found: 1,-' / / Corrections Made: FIRE PREVENTION SNOHOMISH CO. i Sewing Brier. Edmonds, and 12425 Meridian Ave S INSPECTION REPORT FIRE Mountlake Terrace `" Everett, WA 98208 ❑0BR BRgEDMOIER ❑ MOUNTLAKE TERRACE IISTR T Phone (425) 551-1200 UNINCORPORATED µ wwwFireDistrictl.org Fax (425) 551-1272 FREQUENCY STATION & SHIFT LOCATION: 10124 Ednamnds Nay PS020 Annual 20-A BUSINESS NAME: Md-13nakrti 4407 PHONE: 42657783342 SCHEDULED DATE DUE / Jul.2014 MAILING UFIR 1 ibi ADDRESS: 10124 Edmonds WaV. bdamnd-;, WA 3S020 BUSINESS OWNER: Mf�fif:Cltaf� Irtq((�j HOME PHONE: EMERGENCY-1: Mjller. DougLm HOME PHONE: 2DE7005043 CURRENT KEY ACCESS-2: HOME PHONE: CITY YES NO BUSINESS T< ❑ EMAIL: LICENSE PERSON CONTACTED: 2�o��/�� INITIAL INSPECTION DATE tNAME OF INSPECTOR: t-{'r�E 5Y5 {CMS= AS I II I A 11/ 13 .E 1 1113 HQ 1'31 {1113 FCC Lk Box ►(/��. „ice- ,. A /tit_ HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS tg" 2 2 3 / 3 4 / 4 5 5 6 ., 6 7 7 1 AGREE TO CORRECT THE ABOVE VIOLATION(S) IN THE NEXT 30 DAYS X 1st RE -INSPECTION DATE DUE--- 2nd RE -INSPECTION DATE DUE: _ EXTENSION GRANTEDTO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 4 18 4 18 DATE: DISPOSITION: 7 LETTER NEEDED ❑ YES ❑ NO LETTER NEEDED ❑ YES ❑ NO 8 FIRE DEPARTMENT COPY John J. Westfall From: Bjorback, Leif [Leif.Bjorback@edmondswa.gov] Sent: Thursday, February 06, 2014 4:09 PM To: John J. Westfall Subject: FW: Edmonds sprinkler support (McDonald's) John, I would say this is a fair representation that the trusses were designed to support the sprinkler piping. It looks like this was there all along and Hoyt may have overlooked it. With that, I would say you could sign off on final for McD's and then it will be down to one item for Pat to verify. Leif DESIGN CONSIDERATIONS BUILDING. CODE; 200q 18G ROOF DESIGN ROOF LIVE LOA• D -P (V 125%) . 20 PSF FLAT ROOF LOAD ((P 115%) 20 P5F ak DEAD LOAD: 2S P5F GROUND SNOW. 25 PSF DESIGN WIND PRE55URE: 55 NPW EXP S NET WIND UPLIFT Cam' 160%: 5 PSF « NOTE: TwE DRAFT STOP, SOFFIT, SPRINKLER LINE5 d I-1ENU VALENCE L.OAD5 ARE IINCLUDE1D IN THE 2S PSF DE51GN DEAD LOAD, From: Mark Carter[ma iIto: mcarter@em-precision.corn] Sent: Thursday, February 06, 2014 3:01 PM To: Bjorback, Leif Cc: Brian Mattson Subject: Edmonds sprinkler support Leif, 1 I spoke with an engineer for Red -Built today (finally) regarding this issue. After some research, he pointed me to the note in the upper right-hand corner of the plan (page 14 of 15 in the attached pdf). I copied it below for your use. The attached pdf includes the drawings and calculations stamped by Red -Built engineers and reviewed by Engineer of Record for the project. NOTE: T"E DRAFT �'TC:3�', 5VFFt'T, 5PRIN<LER LINES 4 MENU VAL-ENCE L OAD5 ARE INCLUDED IN ^T' 4E 2S PSF Dr=!5IGN DEAD LOAD. Please let me know if you require anything further. Thanks, Mark Carter Project Manager 253-740-7202 cell 253-268-0742 office �M ClS10N � Commercial General Contractor z John J. `,� From: Sent: To: Subject: Westfall John J. Westfall Monday, January 13, 2014 10:35 AM Bjorback, Leif FW: Edmonds McDonalds 10124 Edmonds Way Leif: Here is the item I have not received response to. Thanks, John From: Westfall, John[mailto:john.westfall@edmondswa.govl "Sent: Wednesday, November 20, 2013 7:36 PM _To: sales@cascadealarm.co_m Cc: Kevin Zweber Subject: Edmonds McDonalds 10124 Edmonds Way "Message for Cascade Alarm Michael Maguire: One of the review comments from outside reviewer for this project was "the general notes state the owner is responsible to assure the structure will support the sprinkler system. Please submit analysis to justify the sprinkler system will be able to be supported as detailed and the existing member are able to transfer the design loads". I did not press this issue, as I figured this was a 2013 NFPA 13 change that discusses FORCE CALCULATIONS for sway bracing. (As it turns out, that was new to the 2010 edition, not 2013, which is the current sprinkler design edition for IFC 2012.) After re reading the comment and your GENERAL NOTE, I take the comment to be more a "show me" that maybe you didn't trust the structural support for your system. Either way, I ask you or your architect for the analysis of the structure you reference so we can be sure it meets the piping, bracing and restraint needs of the system. Sorry about the lateness, it was a comment left written on the approved plans and I need it by tomorrow so they can final the restaurant on Friday. e.'Thanks, John J. Westfall Fire Marshal Fire Prevention Services 425-771-0213 Desk 425-775-7721 Fax 425-231-3644 Mobile FIE.. I STRICT John J. Westfall From: Westfall, John Dohn.westfall@edmondswa.govj Sent: Wednesday, November 20, 2013 7:36 PM To: sales@cascadealarm.com Cc: Kevin Zweber Subject: Edmonds McDonalds 10124 Edmonds Way Message for Cascade Alarm Michael Maguire: One of the review comments from outside reviewer for this project was "the general notes state the owner is responsible to assure the structure will support the sprinkler system. Please submit analysis to justify the sprinkler system will be able to be supported as detailed and the existing member are able to transfer the design loads". I did not press this issue, as I figured this was a 2013 NFPA 13 change that discusses FORCE CALCULATIONS for sway bracing. (As it turns out, that was new to the 2010 edition, not 2013, which is the current sprinkler design edition for IFC 2012.) After re reading the comment and your GENERAL NOTE, I take the comment to be more a "show me" that maybe you didn't trust the structural support for your system. Either way, I ask you or your architect for the analysis of the structure you reference so we can be sure it meets the piping, bracing and restraint needs of the system. Sorry about the lateness, it was a comment left written on the approved plans and I need it by tomorrow so they can final the restaurant on Friday. Thanks, John J. Westfall Fire Marshal Fire Prevention Services 425-771-0213 Desk 425-775-7721 Fax 425-231-3644 Mobile FIRE RST G� of E� CITY OF EDMONDS 121 5TH AVENUE NORTH - EDMONDS, WA 98020 o PHONE: (425) 771-0220 - FAX: (425) 771-0221 Expiration Date: 01/29/2014 Parcel No: 00610700200301 MCDONALD'S USA LLC / M.A.J INC. MCDONALD'S USA E M PRECISION LLC KATHI MONCRIEF JASON GREEN PO BOX 2266 9792 EDMONDS WAY PMB # 141 12131 113TH AVE NE SUITE 103 SUMNER, WA 98390 EDMONDS, WA 98020 KIRKLAND, WA 98034 (425)772-7888 (425)242-2420 (253)891-3722 LICENSE #: EMPREL" 981 LO EXP:07/22/2014 JOB DESCRIPTION DEMO EXISTING BUILDING , VALUATION: $0.00 PERMIT TYPE: Commercial PERMIT GROUP: 23 - Demolition GRADING: N CYDS: 0 TYPE OF CONSTRUCTION: RETAINING WALL ROCKERY: N OCCUPANT GROUP: OCCUPANT LOAD: FENCE: N 0 X 0 FT.) CODE: 09 OTHER: N ------ OTHER DESC: ZONE: NUMBER OF STORIES: 0 IVESTED DATE: NUMBER OF DWELLING UNITS: 0 1 LOT #: EXISTING AREA BASEMENT: 0 1ST FLOOR: 0 2ND FLOOR: 0 PROPOSED AREA BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0 3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0 FRONTSETBACK SIDE' REQUIRED: PROPOSED: REQUIRED: PROPOSED: RE UIRED: PROPOSED: HEIGHT ALLOWED:O PROPOSED:O I REQUIRED: PROPOSED: SETBACK NOTES: I AGREE TO COMPLY WITH ITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EM L D IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S � COMPENSATION INSURANCE AND RCW l 8:27. HIS, APPI- 4TION IS NU1 A P IT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID. Signature Rele Date ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 109/ IBC 110/ IRC 110. FIRE'COOPY ONLINE APPLICANT ASSESSOR OTHER 1,114 STATUS: ISSUED BLD20130328 1 D 1 • All work under this demo permit shall take place on private property. Refer to civil plans approved with main building permit .and associated right-of-way permit for work within right-of-way. • Maintain erosion & sedimentation control per city standards. Erosion control'measures to be established per civil plans approved with main building permit prior to demolition of on -site pavement areas. • Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of the building or structure. Check the job card for all required City inspections including final project approval and final occupancy inspections. • Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable. • Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision of city code or state law does not approve any items not to code specification. • Sound/Noise originating from temporary construction sites as a result of construction activity are exempt from the noise limits of ECC Chapter 5.30 only during the hours of 7:00am to 6:00pm.on weekdays and 10:00am and 6:00pm on Saturdays, excluding Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120: • Applicant, on behalf of his or her spouse,.heirs, assigns, and successors in interests, agrees to indemnify defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance provision. INSPECTIONS THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT TIME LIMIT: SEE ECDC 19.00.005(A)(6) CALL 1' INSPECTIONS BUILDING (425) 771-0220 EXT. 1333 ENGINEERING (425) 771-0220 EXT. 1326 FIRE (425) 775-7720 PUBLIC WORKS 425) 771-0235 PRE-TREATMENT 425) 672-5755 RECYCLING 425) 275-4801 When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being requested, Contact Name and Phone Number, Date Prefereed, and whether you prefer morning or afternoon. • E-Pre-Demolition Sewer Cap • E-Pre-Demo Water Sery Discnct/AVB • E-Pre-Demo Erosion Control • E-Engineering Final Demo • B-Building Final APPLICATION FOR PERMIT FOR MATERIALS OR PROCESSES January 3, 2012 Please verify and correct the following information: Name of Company (DBA): McDonalds #4637 Edmonds Location: 10124 Edmonds Way In conformity with the terms of the International Fire Code; application is hereby made to store, use Places of Assembly - Occupant Load.1,30 or maintain the following .� activity,: storage or pro- cesses: c/o MAJ, Inc. Mailing Address: 9792 Edmonds Way, #421 Edmonds, WA 98020 EFD UFIR #: 161130071353 (for office use) Your Signature Your Name (print) awvLnlef Your Title Please make corrections, attach $40 payable to the City of Edmonds and mail to: Fire Marshal Department of Fire Prevention 121-5th Avenue North Edmonds, WA 98020 FOR OFFICE USE ONLY Rec'd z I Check# 405 John J. Westfall From: John J. Westfall Sent: Thursday, April 19, 2012 6:01 PM To: 'Stafford Larsen' Cc:'jean ne.startzman@ci.edmonds.wa.us' Subject: RE: Records Inquiry (2012-197) 10124 Edmonds Way Ref: McDonalds Mr Larsen: City fire records begin in 1983. It appears that this area annexed to Edmonds late 1983 or early 1984. This restaurant has been a McDonald's franchise before that time. In 1989, an addition was made to structure. I find no records of tank removals or installation. No hazardous materials spills. I can only search for hazardous materials incidents by date, if you have a specific date or approximate timeframe of concern, I can review archival records. I. am able to view Edmonds city building records for the restaurant property and see no tank removal or installation permits. Let me know if you have other questions. John J. Westfall Fire Marshal Fire Prevention Services 425-771-0213 Desk 425-775-7721 Fax 425-231-3644 Mobile DIRITRICIT From: Stafford Larsen [mailto:SLarsen@Riley-Group.com] Sent: Thursday, April 19, 2012 3:43 PM To: John J. Westfall Subject: Records Inquiry (2012-197) Hello Mr. Westfall, have your email from a previous records request and I hope that it is ok to send this request directly to you. If not, apologize and please let me know who I should contact. I am interested in obtaining any records your department might have for Underground or aboveground storage tanks, and any hazardous materials responses or fire responses for 10124 Edmonds Way Edmonds WA 98020 (the McDonalds on Edmonds Way). Thank you for assisting me in this research, and have a great day. 1 Stafford Larsen Staff Geologist Slarsen@Yiley group.com The Riley Group, Inc. (425) 415-0 55 1 IVYork (425) 415-0311 Fax i r-il 17522 Bothell Way NE Bothell, WA 98011 www.riley-group.com The Riley Group, Inc. Environmental • Geotechnical • Wetland This communication (including any attachments) may contain privileged or confidential information intended for a specific individual and purpose, and is protected by law. If you are not the intended recipient, you should delete this communication and/or shred the materials and any attachments and are hereby notified that any disclosure, copying, or distribution of this communication, or the taking of any action based on it, is strictly prohibited. Message Page 1 of 6 Westfall, John From: Westfall, John Sent: Monday, May 17, 2010 5:40 PM To: 'jstavert@FHOARCH.COM' Cc: McConnell, Jeanie; Bjorback, Leif; Machuga, Jen; Lien, Kernen; Coccia, Gina; Cunningham, Diane; Smith, Mike; Umbaugh, Theresa; Yarberry, Leonard; Bjorback, Leif; English, Robert; Miller, Noel; Chave, Rob; Clugston, Michael; Clifton, Stephen Subject: RE: McDonalds, Edmonds Way - Feasibility Study Questions Jeff: As we discussed: A-2 Restaurants -require sprinklers at a) 5,000 s.f., or b) Occupant Load of 100 or more, or c) when fire area is located on a floor other than a level of exit discharge serving such occupancies. Also, there are nightclub provisions that apply to open areas for dancing or gathering of 350 s.f. or more inside. -require manual alarm at Occupant Load of 300 or more. Fire area is defined as aggregate floor area enclosed and bounded by walls, barriers, exteriors walls or assemblies. McDonalds existing conditions provide operations area below level of exit discharge, however all customers dine at grade. 130 occupant load is designated existing occupant load. John J. Westfall Fire Marshal Fire Prevention Services 425-771-0213 Desk 425-775-7721 Fax 425-231-3644 Mobile From: Clugston, Michael Sent: Thursday, May 13, 2010 12:20 PM To: 'jstavert@FHOARCH.COM' Cc: Clifton, Stephen; McConnell, Jeanie; Bjorback, Leif; Machuga, Jen; Lien, Kernen; Coccia, Gina; Cunningham, Diane; Westfall, John; Smith, Mike; Umbaugh, Theresa Subject: RE: McDonalds, Edmonds Way - Feasibility Study Questions Jeff, Since you are changing the scope of the drive through use, a conditional use permit will be required (ECDC 16.45.010.C.2) and also if hours past 11 PM are anticipated (ECDC 16.45.010.C.3). Site development standards for the BN zone are found in ECDC 16.45.020 (http://www.mrsc.org/mc/edmonds/Edmondsl6/Edmonds1645.html#16.45). General design review will be required either by the Architectural Design Board or by staff depending on the size and scope of the project. SEPA will probably be required but it depends on the size of the building, number of parking spaces, amount of grading, etc. We will need a critical areas checklist (apply online at: https:Hpermits.edmonds.wa.us/citizen/intro.aspx?CONID=PT-LIVE or on paper at: http://www.ci.edmonds.wa.us/Public Handouts/Planning/P20-Critical_ Areas_ Checklist.pdf). As you know, the site sits at the bottom of a large steep slope so geotechnical work will probably be needed in accordance with ECDC 23.40 and 23.80 (http://www.mrsc.org/mc/edmonds/Edmonds23/Edmonds23.html). I hope this helps. 5/17/2010 CITY ,OF 'EDMONDS 121 5T" AVENUE N. • EDMONDS, WASHINGTON 98020 • (425) 771-0215 " FIRE DEPARTMENT FIRE. PREVENTION SAFETY SURVEY Esc. iseo FREQUENCY STATION & SHIFT LOCATION: 10124 Edmonds tray I 20 A BUSINESS NAME: MCDonald's ##4637 PHONE: 4257783343 SCHEDULEDDATE DUE ► 07/01/10 MAILING RQB �`2012-141 UFIR ► 161 7 053 ADDRESS: Edmonds 98020 BUSINESS OWNER: MonCfl@f, K athl HOME PHONE: 4257763397 ACTIVE 130 EMERGENCY-1: ia" HOME PHONE: 2"44' 4-L5 T7I KEY ACCESS-2: Je�� C��� HOME PHONE: PERSON CONTACTED: W F) V to LPN ('`I' C7 INITIAL INSPECTION DATE � f � , O NAME OF INSPECTOR: \4 v II-`R � � � - � � �� FIRE HD 8/06 UL300 FE 10t 0 SYSTEMS: ' $ %lb ANNUAL HAZARDS FOUND AND LOCATIONS / COMMUNICATIONS FOU ENTER CODE ONLY ONCE ► VIOLATION CODE 2 2 3 3 4 N 4 5 5 6 6 7 7 8 8 1st RE -INSPECTION DATE DUE: 2nd RE -INSPECTION' DATE DUE: EXTENSION GRANTED TO: FINAL RE -INSPECTION DATE DUE: VIOLATIONS CITED: PERSON CONTACTED: PERSON CONTACTED: PERSON CONTACTED: 1 INSPECTOR: INSPECTOR: INSPECTOR: 2 DATE: DATE: DATE: '� 3 VIOLATIONS 1 5 VIOLATIONS 1 5 PRE -CITATION LETTER SENT CITATION ISSUED NUMBER: 4 2 6 2 6 DATE: CODE SECTION: 5 3 7 3 7 RETURN RECEIPT RECEIVED 6 7 4 ! 8 4 18 DATE: DISPOSITION: 8 LETTER NEEDED © YES ❑ NO LETTER NEEDED ® YES [j NO FIRE DEPARTMENT COPY